Get 4 Point Inspection Form

Get 4 Point Inspection Form

The 4 Point Inspection Form is a crucial document used to assess the condition of key systems in a property, including the roof, electrical, HVAC, and plumbing systems. This form must be completed by a Florida-licensed inspector, who certifies that each system is functioning properly and identifies any visible hazards or deficiencies. To ensure a smooth insurance application process, fill out the form by clicking the button below.

Structure

When it comes to ensuring the safety and insurability of a property, the 4 Point Inspection form plays a crucial role. This form provides a comprehensive assessment of four essential systems: the roof, electrical, HVAC, and plumbing. Each section requires detailed information about the condition of these systems, including their age, any visible hazards, and whether they are functioning properly. For example, the electrical section delves into the main panel's condition and identifies any risks such as aluminum wiring or improper grounding. The HVAC portion evaluates whether the heating and cooling systems are in good working order and notes any potential issues. Similarly, the plumbing section checks for leaks and the overall state of fixtures, while the roof assessment examines its material, age, and any signs of damage. Accompanying photographs are mandatory to support the findings, ensuring that the inspection is thorough and transparent. Importantly, only a Florida-licensed inspector can complete and sign this form, emphasizing the need for professional oversight in the evaluation process. Ultimately, this form serves as a vital tool for insurance underwriting, helping to determine the insurability of a property while not guaranteeing the systems' long-term performance.

4 Point Inspection Preview

4-Point Inspection Form

Insured/Applicant Name:_________________________________________________ Application / Policy #:__________________________

Address Inspected:___________________________________________________________________________________________________

Actual Year Built:________________________

Date Inspected: ______________________________________________

 

 

Minimum Photo Requirements:

 

Dwelling: Each side

Roof: Each slope

Plumbing: Water heater, under cabinet plumbing/drains, exposed valves

Main electrical service panel with interior door label

Electrical box with panel off

All hazards or deficiencies noted in this report

A Florida-licensed inspector must complete, sign and date this form.

Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected.

Electrical System

Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician.

Main Panel

 

 

Second Panel

 

Type:

Circuit breaker

Fuse

 

Type:

Circuit breaker Fuse

 

Total Amps: __________

 

 

Total Amps: __________

 

Is amperage sufficient for current usage?

Yes No (explain)

Is amperage sufficient for current usage?

Yes No (explain)

 

 

 

 

 

 

 

Indicate presence of any of the following:

Cloth wiring

Active knob and tube

Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring):

* If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided.

Connections repaired via COPALUM crimp Connections repaired via AlumiConn

Hazards Present

 

 

Double taps

Blowing fuses

 

 

Exposed wiring

Tripping breakers

 

 

Unsafe wiring

Empty sockets

 

 

Improper breaker size

Loose wiring

 

 

Scorching

Improper grounding

 

 

Other (explain)

Corrosion

 

 

 

Over fusing

 

 

 

 

 

 

 

General condition of the electrical system:

Satisfactory

Unsatisfactory (explain)

Supplemental information

Main Panel

Second Panel

Wiring Type

Panel age: __________

Panel age: __________

Copper

Year last updated: __________

Year last updated:__________

NM, BX or Conduit

Brand/Model: __________

Brand/Model: __________

 

 

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

HVAC System

Central AC:

Yes

No

Central heat:

Yes

No

If not central heat, indicate primary heat source and fuel type: _________________________________

Are the heating, ventilation and air conditioning systems in good working order?

Yes

No (explain)

Date of last HVAC servicing/inspection: ______________

 

 

 

 

 

 

 

 

 

 

 

 

Hazards Present

 

 

 

 

 

 

 

Wood-burning stove or central gas fireplace not professionally installed?

Yes

No

 

Space heater used as primary heat source?

Yes

No

 

 

 

Is the source portable?

Yes

No

 

 

 

 

 

Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area?

Yes No

Supplemental Information

Age of system: _____________

Year last updated: _____________

(Please attach photo(s) of HVAC equipment, including dated manufacturer’s plate)

Plumbing System

Is there a temperature pressure relief valve on the water heater?

Yes

No

 

Is there any indication of an active leak?

Yes

No

 

 

 

Is there any indication of a prior leak?

Yes

No

 

 

 

Water heater location: _______________________________________________

 

 

 

 

General condition of the following plumbing fixtures and connections to appliances:

 

Satisfactory Unsatisfactory

N/A

 

Satisfactory Unsatisfactory

N/A

 

Dishwasher

 

 

 

Toilets

 

Refrigerator

 

 

 

Sinks

 

Washing machine

 

 

 

Sump pump

 

Water heater

 

 

 

Main shut off valve

 

Showers/Tubs

 

 

 

All other visible

 

 

 

 

 

 

 

If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.).

Supplemental Information

Age of Piping System:

 

Type of pipes (check all that apply)

 

_____

Original to home

 

Copper

 

 

 

 

 

_____

Completely re-piped

 

PVC/CPVC

 

 

 

 

 

_____

Partially re-piped

 

Galvanized

 

 

 

 

 

(Provide year and extent of renovation in the comments below)

 

PEX

 

 

 

 

 

 

 

 

Polybutylene

 

 

 

 

Other (specify)

 

 

 

 

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.)

Predominant Roof

Covering material: __________

Roof age (years): __________

Remaining useful life (years): __________

Date of last roofing permit: __________

Date of last update: __________

If updated (check one):

Full replacement Partial replacement

%of replacement: __________

Overall condition:

Satisfactory

Unsatisfactory (explain below)

Any visible signs of damage / deterioration?

(check all that apply and explain below)

Cracking

Cupping/curling

Excessive granule loss

Exposed asphalt

Exposed felt

Missing/loose/cracked tabs or tiles

Soft spots in decking Visible hail damage

Any visible signs of leaks? Yes No

Attic/underside of decking Yes No

Interior ceilings Yes No

Secondary Roof

Covering material: __________

Roof age (years): __________

Remaining useful life (years): __________

Date of last roofing permit: __________

Date of last update: __________

If updated (check one):

Full replacement Partial replacement

%of replacement: __________

Overall condition:

Satisfactory

Unsatisfactory (explain below)

Any visible signs of damage / deterioration?

(check all that apply and explain below)

Cracking

Cupping/curling

Excessive granule loss

Exposed asphalt

Exposed felt

Missing/loose/cracked tabs or tiles

Soft spots in decking Visible hail damage

Any visible signs of leaks? Yes No

Attic/underside of decking Yes No

Interior ceilings Yes No

Additional Comments/Observations (use additional pages if needed):

All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct.

Inspector Signature

 

Title

 

License Number

 

Date

 

 

 

 

 

 

 

Company Name

 

License Type

 

Work Phone

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

Special Instructions: This sample 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable.

Photo Requirements

Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include:

Dwelling: Each side

Roof: Each slope

Plumbing: Water heater, under cabinet plumbing/drains, exposed valves

Open main electrical panel and interior door

Electrical box with the panel off

All hazards or deficiencies

Inspector Requirements

To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include:

A general, residential, or building contractor

A building code inspector

A home inspector

Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.)

Documenting the Condition of Each System

The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies.

Additional Comments or Observations

This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection:

Updates: Identify the types of updates, dates completed and by whom

Any visible hazards or deficiencies

Any system determined not to be in good working order

Note to All Agents

The writing agent must review each 4-Point Inspection Form before it is submitted with an application for coverage. It is the agent’s responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies.

Sample Form Insp4pt 01 18

Document Data

Fact Name Description
Purpose The 4-Point Inspection Form is designed to assess the condition of four critical systems in a home: the roof, electrical system, HVAC system, and plumbing. This assessment helps insurers determine the insurability of a property.
State Requirement In Florida, the form must be completed by a licensed inspector. This requirement is governed by state law, ensuring that only qualified professionals evaluate the systems.
Photo Documentation Each inspection must include specific photographs. These include images of each side of the dwelling, all slopes of the roof, and key plumbing and electrical components.
Inspector Qualifications Only Florida-licensed professionals, such as general contractors or home inspectors, can complete the form. They must sign and date it, certifying the accuracy of their findings.
Condition Assessment Inspectors must evaluate each system as either satisfactory or unsatisfactory. This assessment includes identifying any visible hazards or deficiencies that may affect the property’s safety.
Usage of Information The information gathered in the inspection is used solely for underwriting purposes. It does not guarantee the suitability or longevity of the systems inspected.
Updates and Repairs If any systems have been updated or repaired, the inspector must document these changes. This includes the type of work done and any relevant dates, ensuring a comprehensive overview of the property’s condition.

How to Use 4 Point Inspection

Completing the 4 Point Inspection form is a crucial step in assessing the condition of a property for insurance purposes. After filling out the form, it will need to be reviewed and signed by a licensed inspector to ensure accuracy and compliance with state regulations.

  1. Start with the top section: Fill in the Insured/Applicant Name, Application/Policy Number, and the Address Inspected.
  2. Provide the year the property was built: Enter the Actual Year Built and the Date Inspected.
  3. Document photo requirements: Ensure that photos of the dwelling, roof, plumbing, and electrical systems are taken as specified.
  4. Fill out the Electrical System section: Indicate the type of electrical panel, total amps, and whether the amperage is sufficient for current usage. Note any hazards present.
  5. Complete the HVAC System section: Indicate if there is central AC and heat, and if the systems are in good working order. Provide details about the last servicing.
  6. Address the Plumbing System section: Confirm the presence of a temperature pressure relief valve and check for leaks. Assess the condition of plumbing fixtures.
  7. Fill in the Roof section: Document the roof covering material, age, remaining useful life, and overall condition. Note any signs of damage or leaks.
  8. Provide additional comments or observations: Use this space for any important details not covered in the previous sections.
  9. Finalize the form: The Florida-licensed inspector must sign, date, and provide their license number and company information.

Once the form is completed, it is essential to ensure that all required photos are attached and that the inspector's details are accurate. This will help facilitate the underwriting process for insurance coverage.

Key Facts about 4 Point Inspection

What is a 4 Point Inspection Form?

The 4 Point Inspection Form is a document used primarily in Florida to assess the condition of four major systems in a residential property: the roof, electrical system, HVAC (heating, ventilation, and air conditioning), and plumbing. This inspection is often required by insurance companies to determine the insurability of a property. The form must be completed by a licensed inspector who will evaluate each system and note any hazards or deficiencies present.

Who can complete the 4 Point Inspection?

A Florida-licensed inspector must complete the 4 Point Inspection Form. Acceptable professionals include general contractors, residential contractors, building code inspectors, and home inspectors. It's important to note that a trade-specific professional, such as an electrician, can only certify the section relevant to their expertise.

What information is required on the form?

The form requires specific information about the property, including the insured/applicant's name, application or policy number, address, year built, and date of inspection. Additionally, the inspector must provide details about each of the four systems, including their condition, any visible hazards, and supplemental information such as the age of the systems and any updates made.

What are the minimum photo requirements?

To accompany the 4 Point Inspection Form, photos must be provided for each side of the dwelling, each slope of the roof, and key plumbing components such as the water heater and exposed valves. Photos of the main electrical panel and any noted hazards or deficiencies are also required. These images help to visually document the condition of the property.

What happens if a system is found to be unsatisfactory?

If any system is deemed unsatisfactory, the inspector must provide detailed comments explaining the issues. This could include signs of leaks, corrosion, or other hazards. Such findings can affect the insurability of the property, as insurance companies often require that all systems be in good working order before issuing a policy.

How is the information on the form used?

The information collected on the 4 Point Inspection Form is used by insurance underwriters to evaluate the risk associated with insuring the property. It helps them determine whether to offer coverage and under what terms. However, it is important to understand that this inspection does not serve as a warranty or guarantee regarding the longevity or fitness of the systems inspected.

What should I do if my property has deficiencies?

If deficiencies are noted during the inspection, it is advisable to address them promptly. This may involve repairs or upgrades to the systems in question. Once the issues are resolved, a follow-up inspection may be necessary to provide updated documentation for the insurance application.

Can I use a different inspection form?

While the 4 Point Inspection Form provided is a sample, other inspection reports can be submitted as long as they contain at least the same level of detail. The key is to ensure that any alternative form meets the minimum requirements set by the insurance company and is completed by a licensed inspector.

What are the responsibilities of the writing agent?

The writing agent plays a crucial role in the application process. They must review each 4 Point Inspection Form before submission to ensure that all requirements are met. If any systems are not in good working order or if there are existing hazards, the agent cannot submit the application for coverage.

Common mistakes

Completing the 4 Point Inspection form accurately is crucial for ensuring your property is properly assessed for insurance purposes. However, many people make common mistakes that can lead to complications. One frequent error is failing to provide the insured/applicant name or the application/policy number. These fields are essential for identifying the property and the policy in question. Without this information, the form may be deemed incomplete.

Another mistake is neglecting to include the actual year built of the property. This detail helps underwriters evaluate the property's condition and potential risks. Additionally, some individuals forget to check the required photo documentation. Each side of the dwelling and every slope of the roof must be documented. Missing photos can delay the underwriting process or result in a denial of coverage.

People often overlook the importance of clearly indicating the condition of each system. For instance, marking the electrical system as “satisfactory” without further explanation can lead to misunderstandings. If there are any deficiencies, they should be detailed in the comments section. This transparency helps avoid future disputes.

In the HVAC section, some applicants mistakenly fail to indicate whether the systems are in good working order. This is a critical piece of information that affects insurability. Furthermore, not providing the age of the HVAC system can lead to additional questions from underwriters, causing unnecessary delays.

Another common oversight occurs in the plumbing section. Individuals may forget to specify if there is a temperature pressure relief valve on the water heater or if there are indications of leaks. These details are vital for assessing the plumbing's safety and functionality. Additionally, failing to list the type of pipes used can raise red flags during the review process.

Many also skip the section on roof conditions, neglecting to describe any visible damage or deterioration. This includes signs like cracking or excessive granule loss. Noting these issues can significantly impact the insurance decision, so it is essential to be thorough.

Lastly, some individuals do not ensure that the form is signed and dated by a Florida-licensed inspector. This is a mandatory requirement. Without a proper signature, the form will not be accepted, which could jeopardize the entire application process.

By avoiding these common mistakes, you can ensure that your 4 Point Inspection form is complete and accurate, helping to facilitate a smoother underwriting process.

Documents used along the form

The 4-Point Inspection form is a crucial document used to evaluate the condition of a property’s major systems: roof, electrical, HVAC, and plumbing. Alongside this form, several other documents may be necessary to provide a comprehensive assessment. The following list outlines these additional forms and documents, each serving a specific purpose in the inspection and underwriting process.

  • Roof Inspection Form: This document provides detailed information about the roof's condition, including materials used, age, and any visible damage or repairs. It often includes photographs to support the findings.
  • Electrical Inspection Report: This report focuses specifically on the electrical system, detailing the condition of wiring, panels, and any potential hazards. It may also include recommendations for repairs or upgrades.
  • HVAC Inspection Report: This document assesses the heating, ventilation, and air conditioning systems. It includes details about system age, maintenance history, and any identified issues affecting functionality.
  • Plumbing Inspection Report: This report evaluates the plumbing system's condition, including pipes, fixtures, and appliances. It highlights any leaks, corrosion, or other deficiencies that may impact the system's performance.
  • Home Inspection Report: A comprehensive overview of the entire property, this report covers structural integrity, safety concerns, and the condition of various systems beyond the four main areas of focus.
  • Insurance Application: This form initiates the underwriting process and collects essential information about the property and its owner, including coverage needs and property details.
  • Disclosure Statement: Required by some states, this document informs potential buyers or insurers of known issues with the property, such as past repairs or hazards.
  • Maintenance Records: These documents provide a history of repairs and maintenance performed on the property, offering insight into how well systems have been cared for over time.
  • Permit History: This record shows any permits obtained for renovations or repairs, which can indicate whether work was done according to code and standards.
  • Photographic Evidence: Accompanying photographs of each inspected area are often required. These images serve as visual documentation of the condition of the property and its systems.

Collectively, these documents support the evaluation process, helping to ensure that properties meet safety and insurability standards. Accurate and thorough documentation is essential for a smooth underwriting experience and to protect the interests of all parties involved.

Similar forms

  • Home Inspection Report: Similar to the 4-Point Inspection Form, a home inspection report assesses the overall condition of a property, covering systems like plumbing, electrical, and HVAC. Both documents aim to identify potential issues before a sale or insurance application.

  • Roof Inspection Report: This document focuses specifically on the roof's condition, much like the roof section of the 4-Point Inspection. It includes details on age, materials, and any visible damage, ensuring that the roof is safe and functional.

  • Electrical Inspection Report: An electrical inspection report evaluates the electrical systems in a home, similar to the electrical section of the 4-Point Inspection. It identifies hazards, compliance with codes, and the overall safety of the electrical setup.

  • HVAC Inspection Report: This report reviews heating, ventilation, and air conditioning systems, paralleling the HVAC section of the 4-Point Inspection. It assesses system performance and identifies any maintenance needs.

  • Plumbing Inspection Report: Like the plumbing section of the 4-Point Inspection, this report examines pipes, fixtures, and potential leaks, ensuring the plumbing system is in good working order.

  • Insurance Underwriting Report: This document evaluates a property’s insurability, similar to how the 4-Point Inspection informs underwriting decisions. Both aim to identify risks associated with insuring a property.

  • Property Condition Assessment: A broader evaluation of a property's condition, this assessment includes various systems and components, much like the comprehensive nature of the 4-Point Inspection.

  • Real Estate Appraisal Report: While primarily focused on property value, an appraisal often includes observations about the condition of major systems, akin to the 4-Point Inspection's focus on safety and functionality.

  • Code Compliance Inspection Report: This report checks if a property meets local building codes, similar to how the 4-Point Inspection ensures that systems are safe and compliant with regulations.

  • Environmental Inspection Report: This document assesses environmental hazards, like mold or lead, which can affect insurability and safety, much like the hazard identification in the 4-Point Inspection.

Dos and Don'ts

When filling out the 4 Point Inspection form, it’s important to ensure accuracy and completeness. Here are ten essential dos and don’ts to guide you through the process:

  • Do provide clear and accurate information for each section of the form.
  • Do ensure that all required photos are attached, showing each side of the dwelling and all necessary system components.
  • Do have a Florida-licensed inspector complete, sign, and date the form.
  • Do indicate any visible hazards or deficiencies clearly in the comments section.
  • Do specify the age and condition of all systems, including any updates or repairs made.
  • Don’t leave any sections blank; incomplete forms may lead to delays or rejection.
  • Don’t submit the form without verifying that all information is accurate and up-to-date.
  • Don’t use a non-licensed inspector; only a Florida-licensed professional can validate the inspection.
  • Don’t forget to document any remediation work done on aluminum wiring or other hazards.
  • Don’t overlook the importance of detailed descriptions for any unsatisfactory conditions noted.

Misconceptions

  • Misconception 1: The 4-Point Inspection form guarantees insurance coverage.

    In reality, the form is merely a tool used by underwriters to assess the insurability of a property. It does not serve as a warranty or guarantee of coverage.

  • Misconception 2: Any inspector can complete the 4-Point Inspection form.

    Only a Florida-licensed inspector is authorized to fill out and sign this form. This requirement ensures that the inspection meets state standards and regulations.

  • Misconception 3: The 4-Point Inspection form covers all aspects of home safety.

    The form specifically focuses on four key systems: electrical, HVAC, plumbing, and roofing. Other safety aspects, such as structural integrity, are not addressed.

  • Misconception 4: The presence of hazards on the form automatically disqualifies a property from insurance.

    While hazards are significant factors in the underwriting process, they do not necessarily lead to an automatic denial. Each case is evaluated on its individual merits.

  • Misconception 5: Photos are optional when submitting the 4-Point Inspection form.

    Photos are mandatory. They must accompany the form to provide visual evidence of the conditions reported, ensuring a thorough evaluation by underwriters.

Key takeaways

  • Ensure that the 4 Point Inspection Form is filled out completely, including the insured/applicant name, application/policy number, and address inspected.

  • Document the actual year built and date inspected accurately to provide essential context for the property.

  • Include all required photos as specified, such as images of each side of the dwelling, each slope of the roof, and key plumbing and electrical components.

  • Have a Florida-licensed inspector complete, sign, and date the form, as Underwriting will rely on this information for assessing insurability.

  • Clearly indicate any hazards or deficiencies found during the inspection, including details about electrical, HVAC, plumbing, and roofing systems.

  • Use the section for additional comments to provide thorough descriptions of any updates, visible hazards, or systems that are not functioning properly.

  • Review the completed form thoroughly before submission to ensure compliance with all rules and requirements, as incomplete or incorrect forms may delay the application process.